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General NPI Number Information
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NPI Number | 1619830858
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Entity Type | Organization
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Legal Business Name | USA SLEEP DIAGNOSTIC MOBILE SERVICES, LLC
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Dates
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Enumeration Date | 12/04/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 4900 OHEAR AVE STE 100
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City | NORTH CHARLESTON
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State | SC
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Zip | 29405-5091
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Country | US
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Telephone | 888-792-4445
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Fax | 888-765-6615
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Provider Business Mailing Address
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Address Line | 6030 DAYBREAK CIR # A150260
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City | CLARKSVILLE
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State | MD
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Zip | 21029-1642
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Country | US
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Telephone | 888-792-4445
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Fax | 888-765-6615
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Authorized Official
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Title or Position | CEO
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Name | THURLYN BRYAN WILSON
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Credential |
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Telephone | 888-792-4445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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